Actively Recruiting

Phase 4
Age: 40Years - 75Years
All Genders
NCT05850091

Polygenic Risk-based Detection of Subclinical Coronary Atherosclerosis and Intervention With Statin and Colchicine

Led by Massachusetts General Hospital · Updated on 2026-05-08

200

Participants Needed

1

Research Sites

181 weeks

Total Duration

On this page

Sponsors

M

Massachusetts General Hospital

Lead Sponsor

N

National Heart, Lung, and Blood Institute (NHLBI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this double-blind randomized controlled trial is to determine how treatment with high intensity statin, low-dose colchicine, and their combination modulates progression and composition of coronary atherosclerosis in individuals with high polygenic risk for coronary artery disease.

CONDITIONS

Official Title

Polygenic Risk-based Detection of Subclinical Coronary Atherosclerosis and Intervention With Statin and Colchicine

Who Can Participate

Age: 40Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Males and females between 40 and 75 years of age capable and willing to provide informed consent
  • Participant has high CAD PRS as defined on a clinical test
  • Participant with subclinical atherosclerosis defined as plaque visible on CCTA and causing <70% luminal stenosis
Not Eligible

You will not qualify if you...

  • Participant with a history of cardiovascular disease, defined by a diagnosis of coronary artery disease, peripheral artery disease, or cerebrovascular disease
  • Participant with a history of Liver disease (cirrhosis, active hepatitis, or severe hepatic disease) or any of the following recent lab results and determined to be non-transient: alanine aminotransferase greater than 3 times the upper limit of normal or total bilirubin greater than 2 times the upper limit of normal (unless due to Gilbert syndrome)
  • Participant with estimated glomerular filtration rate <60 mL/min/1.73 m2 or creatinine greater than 2 times the upper limit of normal
  • Patient with history of an allergic reaction or significant sensitivity to iodinated contrast, colchicine, or statins
  • Patient currently taking LDL cholesterol lowering or anti- inflammatory medications including colchicine
  • Participants requiring regular drugs known to be potent CY2P inhibitors (eg. ketoconazole, clarithromycin)
  • Female patient who is pregnant, or breast-feeding or is considering becoming pregnant during the study
  • Participant with BMI ≥ 40 kg/m2
  • Participant unable to provide informed consent
  • Participant unable to hold breath for 10 seconds

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

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Research Team

R

Roukoz Abou-Karam, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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Polygenic Risk-based Detection of Subclinical Coronary Atherosclerosis and Intervention With Statin and Colchicine | DecenTrialz